White Oak Recovery Center LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

WHITE OAK RECOVERY CENTER LLC

Practice address

6023 Hazeltine Ave
Van Nuys, CA 91401-3525

Phone

(704) 450-2117

NPI assigned

Nov 27, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dustin X Johnson

Title

Ceo

Phone

(704) 450-2117

Specialties & licenses 1

Addresses

Tax ID family

White Oak Recovery Center LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• White Oak Recovery Center LLC

  • Substance Abuse Rehabilitation Facility
  • North Hollywood, CA
  • NPI 1710513593
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1732665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732665600000",
    "number": "1801612445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4009 MASONBORO LOOP RD",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284093640",
            "telephone_number": "704-450-2117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6023 HAZELTINE AVE",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914013525",
            "telephone_number": "704-450-2117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE OAK RECOVERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-27",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "DUSTIN",
        "authorized_official_middle_name": "X",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "704-450-2117"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia A. Wheeler
• Christina S. Wherry
• White Angels Hospice Inc
• White Glove Home Health Inc
• White Guardian Home Health Care Inc
• White Oak Recovery Center Outpatient LLC
• Demetra White
• Fawntelle White
• Gena White, CADC II
• Kevin C White, BA

• Adult Mental Health Clinic/Center in Van Nuys, CA
• Providers in Van Nuys, CA by specialty
• Adult Mental Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.